Community Giving Form | Request a Donation

* = Required Field

Date of Request*

Date of Event/Project

Name*

Email*

Phone*

Name*

Contact Person*

Contact Title

Contact Email*

Contact Phone Number*

Organization Fax Number

Event Location Address

Zip

City

State

Organization Mailing Address*

Zip

City

State

Is your organization a designated non-profit?*

Non-profit: Yes
No

If yes, please provide a copy of your W-9 form (2018 or newer version) in the Upload Request Forms section.

VGM Employee Sponsor (if applicable)

Have you received previous funding from the VGM Group?*

VGM Group: Yes
No

If yes, what type of support have you received? Please provide dates, amounts, and types of support. VGM:

Does your organization have a website?* Yes
No

If yes, please provide address:

Is this an annual event/program?* Yes
No

Amount of Request*

Please provide a brief overview of your request and what the funds would benefit.*

Acceptable Files: pdf, doc, docx, txt

Community GivingRequest a Donation